Organization Active NPI

Royal Home Care Management

  • Adult Care Home Facility
  • Newark, NJ
National Provider Identifier
1790816114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0026883 Issued in NJ
Legal business name
ROYAL HOME CARE MANAGEMENT
Practice address
290 Chestnut St
Newark, NJ 07105-1559
Phone
(973) 344-4300
Fax
(973) 817-8509
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Mary Williams Cudjoe, CALA
Title
Ceo Administrator
Phone
(973) 344-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0026883 NJ Primary

Addresses

Primary practice location

290 Chestnut St
Newark, NJ 07105-1559

Mailing address

290 Chestnut St
Newark, NJ 07105-1559
Phone (973) 344-4300

Other identifiers 1

IdentifierTypeStateIssuer
0026883MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790816114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051559",
            "telephone_number": "973-344-4300",
            "fax_number": "973-817-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051559",
            "telephone_number": "973-344-4300",
            "fax_number": "973-817-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HOME CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUDJOE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CEO ADMINISTRATOR",
        "authorized_official_telephone_number": "973-344-4300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CALA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NJ",
            "license": "0026883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026883",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.